Agenda Aac - 2/2019

THE REGIONAL MUNICIPALITY OF PEEL

ACCESSIBILITY ADVISORY COMMITTEE

AGENDA AAC - 2/2019

DATE: Thursday, April 18, 2019

TIME: 1:30 PM – 3:30 PM

LOCATION: Council Chamber, 5th Floor Regional Administrative Headquarters 10 Peel Centre Drive, Suite A Brampton, Ontario

MEMBERS: C. Belleth; C. Chafe; R. Chopra; P. Crawford-Dickinson; M. Daniel; P. Fortini; A. Groves; N. Husain; N. Iannicca; A. Karim; M. Mahoney; A. Misar; I. Sinclair

R. Chopra to preside.

1. CALL TO ORDER

2. DECLARATIONS OF CONFLICTS OF INTEREST

3. APPROVAL OF AGENDA

4. DELEGATIONS

5. REPORTS

5.1. Food Handler Certification Training - Addressing the Accessibility Needs of Clients (For information) Presentation by Dr. Lawrence Loh, Associate Medical Officer of Health

5.2. Annual Accessibility Status Report 2018 (For information)

For questions about this agenda, or to make arrangements for accessibility accommodations for persons attending, please contact: Veronica Montesdeoca, Accessibility Planning Specialist at (905) 791-7800, Ext. 4778 or by e-mail at [email protected]

Some meeting information may also be available in alternate formats, upon request. Please contact: Harjit Gill at (905) 791-7800, Ext. 4854 or by e-mail at [email protected] AAC-2/2019 Thursday, April 18, 2019 -2-

5.3. 2019 Legislative Review of the Accessibility for Ontarians with Disabilities Act, 2005 (For information) (Related to 6.2)

5.4. Accessibility Planning Program Update - April 18, 2019 (For information)

6. COMMUNICATIONS

6.1. Raj Chopra, Committee Member, Providing an Update on the Provincial Health Care Standards Development Committee (Oral) (Deferred from the February 21, 2019 Region of Peel Accessibility Advisory Committee meeting)

6.2. Judi Lytle, Accessibility Coordinator, Capital Works Department, City of Burlington, Email dated March 7, 2019, Regarding the Honourable David C. Only, Lieutenant Governor, 2019 Legislative Review of the Accessibility for Ontarians with Disabilities Act, 2005 (Receipt recommended) (Related to 5.3)

6.3. Coalition for Persons With Disabilities, Flyer received March 20, 2019, Regarding Connections 2019 Resource Fair and Career Corner for Persons with Disabilities (Receipt recommended)

7. OTHER BUSINESS

8. NEXT MEETING

Thursday, June 20, 2019 1:30 p.m. - 3:30 p.m. Council Chamber, 5th floor Regional Administrative Headquarters 10 Peel Centre Dr., Suite A Brampton, ON

9. ADJOURNMENT

5.1-1

&Region REPORT 111 of Peel Meeting Date: 2019-04-18 working with you Accessibility Advisory Committee

For Information

DATE: April 3, 2019

REPORT TITLE: FOOD HANDLER CERTIFICATION TRAINING - ADDRESSING THE ACCESSIBILITY NEEDS OF CLIENTS

FROM: Nancy Polsinelli, Commissioner of Health Services Jessica Hopkins, MD MHSc CCFP FRCPC, Medical Officer of Health

OBJECTIVE

To provide an update on how the Region of Peel’s Food Handler Certification Training Program addresses the needs of clients.

REPORT HIGHLIGHTS  The Region of Peel’s Food Handler Certification Training Program teaches food handlers about safe food handling practices to prevent or reduce the risk of foodborne illness. Participation in the program is voluntary, though increasing attendance has been observed.  This report responds to the April 19, 2018 recommendation from the AAC that staff provide a comprehensive report on the Food Handler Certification Training Program.

DISCUSSION

1. Background

Every board of health must provide a food handler training program to meet the requirements of the 2018 Ontario Public Health Standards. The Region of Peel’s Food Handler Certification Training Program is delivered by a team of public health inspectors. The program goal is to raise awareness of safe food handling practices, assisting in the prevention and reduction of food-borne illness. Successful candidates receive a Provincial Food Handler Certification Card, valid for 5 years, that is recognized by the Ontario Ministry of Health and Long-Term Care and all public health units across Ontario.

Participation in Peel’s food handler training program is voluntary. However, as of July 1, 2018, the Ontario Food Premises Regulation (O. Reg 493/17) requires that every food service premises has at least one employee or supervisor who is a certified food handler working whenever the premises is open and serving food to the public. This has resulted in an increase in clients seeking certification from various certification venues, including Peel’s Food Handler Certification Training Program. 5.1-2 FOOD HANDLER CERTIFICATION TRAINING - ADDRESSING THE ACCESSIBILITY NEEDS OF CLIENTS

On April 19, 2018, a report was submitted to the Accessibility Advisory Committee (AAC) which described the Food Handler Certification Training Program and some of the strategies used to address client needs. The AAC requested further information about the program and invited Public Health to provide a more detailed presentation, which is being addressed here.

2. Food Handler Certification Program Update Findings

Receiving Food Handler Certification is an important qualification when applying for food service jobs or to maintain employment. For close to 30 years, public health inspectors have been providing this essential training to clients. Over the years, many modifications have been made to the course and exam to promote an accessible learning environment for clients.

The accompanying presentation to this report provides an overview of the Food Handler Certification Program and outlines simple strategies used to address accessibility barriers and to ensure that clients have an equal opportunity to obtain certification. Some strategies include:

 Inquiring about accessibility and language/translation needs during course registration;  Delivering information in creative ways to address different learning styles (e.g. use of props, closed captioned videos, icebreakers, descriptive terms, pictures and symbols);  Providing materials in large print, different coloured paper using plain language;  Language support provided by public health inspectors, who can read the exam to a client in their preferred language or paraphrase in English using plain language; and,  Hosting courses or exams at alternative locations when travelling to the main Regional site is difficult.

Appendix I outlines further detail around the accessibility features of the Food Handler Certification Training Program.

The 2018 course evaluation has been updated to elicit feedback for program improvements and to identify accessibility barriers and solutions, and results are included in the accompanying presentation.

CONCLUSION

Region of Peel – Public Health will continue to take steps to work with clients of the Food Handler Training Program to identify and proactively remove barriers within our control that impede learning and certification.

Nancy Polsinelli, Commissioner of Health Services

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Jessica Hopkins, MD MHSc CCFP FRCPC Medical Officer of Health

Approved for Submission:

Janice Sheehy, Acting Chief Administrative Officer

APPENDICES

Appendix I - Accessibility features of the Food Handler Certification training program

For further information regarding this report, please contact Louise Aubin, Acting Director, Health Protection, extension 2479, [email protected]

Authored By: Beata Hilliard, Susan Zivkovic , Health Protection

- 3 - 5.1-4 APPENDIX I FOOD HANDLER CERTIFICATION TRAINING – ADDRESSING THE ACCESSIBILITY NEEDS OF CLIENTS

ACCESSIBILITY FEATURES OF THE FOOD HANDLER CERTIFICATION TRAINING PROGRAM

Barrier Identified Barrier Type Disability Type Measures to remove barrier Difficulty hearing the Information and Sensory  Use of microphone and instructor Communications speakers

Low vision and have Information and Sensory  Use a larger projector screen difficulty reading the Communications Powerpoint presentation  Increase font size of presentation and projection

 Use descriptive terminology during presentation

 Closed captioning available for videos shown in class Struggles with reading Information and Cognitive  Adjust reading level of English Communications and/or course manuals to grade 9 Language literacy level Barrier  Translated course manuals and exams to the 10 most frequently spoken languages in Peel

 Use of descriptive terms, videos, pictures and symbols

 Clear, well-organized and concise course syllabus

 Emphasis on essential course content throughout the presentation

 Upon request, staff can read the exam questions and answer choices aloud to clients in their preferred language

5.1-5 APPENDIX I FOOD HANDLER CERTIFICATION TRAINING – ADDRESSING THE ACCESSIBILITY NEEDS OF CLIENTS

Course manual and exam Information and Sensory  Use spiral binding for Communications manuals which is better for vision aids (e.g. magnifiers)

 Arial pt 14 font for exam.

 Convert documents using different font style, font size, coloured paper upon request.

 Assistance for Scantrons

 High contrast colour for text and background Experiences anxiety Systemic Cognitive  A separate, quiet, room to writing exams in a group write the exam can be or classroom setting arranged upon request Has learning disabilities Systemic Cognitive  An instructor paraphrases and/or has difficulty exam questions and answers reading and using plain language understanding the exam Anxiety of being in a Attitudinal Cognitive  Ice breakers learning/school environment or difficulty  Encourage storytelling and learning in lecture-style sharing experiences format  Review sample test questions verbally

 Use of descriptive terms, videos, pictures and symbols

 Use replica of food

 Hands-on and tactile activities Special Needs - Physical Cognitive  Instructor travels to an Accommodations alternate accessible location that is familiar to clients (e.g. high schools) to deliver the course and/or exam

2 5.1-6 &Region Iii of Peel working with you Food Handler Certification Training Addressing the Needs of Our Clients

Lawrence Loh, MD, MPH, CCFP, FRCPC, FACPM Associate Medical Officer of Health 5.1-7 &Region Iii of Peel working with you Agenda

1) Program Overview 2) Barriers to accessibility we have addressed 3) Program Success and Evaluation 5.1-8 The Food Handler Certification Program Overview

• 30 years of food safety education in Peel • 14,007 clients attended from 2009-2018 • 1,890 clients attended in 2018

• Successful certification is very important to our clients 5.1-9 Barriers to accessibility for Food Handler Certification

Information and Communication

• Language / translations • Sensory • Cognitive

5.1-10 Food handler certification manual shown in Our11 languages staff can offered assist in other languages

Polish Portuguese TagalogPicture of PHIs that assistedSpanish clients, holding up a sign with their language English French

Punjabi Tamil Arabic Urdu Simplified Chinese 5.1-11 The food course exam in this picture is printed in black 14 point font on white paper. Optional high contrast paper colours are shown behind the exam P Region d Peel Wo1tlt.i.1Uf fo11. ~Oil

Food Handler Certif" . (Version A - Rev·,se d,cat,onMarch 20H) Exam A

To becomequestions a Certified (70%) must Food b eHa answeredndle•, 35 correct\yout of the 50

Instructions

' 2 0 complete the e)(.am ► You have an hour and a half i -1 1A hrs) t ► There_is only one answer per question. Please rea quesloon ca,efu\ly and select the t,est answer d each ► Please do not write in the quesUon booklet; answer all questions on the answer sheet ► If you need help during \he exarn. raise your hand and an instructor will come to you ► When you are finished , raise your hand and the instructor w\11 collect both the question booklet and answer sheet. E.xarns

cannot be removed from this room ► The ;nstructor will give you an eva\uation form to cornplete

before you \eave ► If you are not provided the certilicate todaY . it will be sent to you in the mail (please a\\oW about 3 weeKs) ► If you fail th• exam we will contact you and you will nave another opportunity to write th• •""m 5.1-12 Barriers to accessibility for Food Handler Certification

Systemic • Learning disabilities • Difficulty understanding material • Cognitive/ anxiety 5.1-13 Barriers to accessibility for Food Handler Certification Attitudinal

•Difficulty with being in a lecture type classroom setting

•Need other learning methods – physical learning exercises 5.1-14 Instructor Stephanie in front of a projector slide with picture of the food safety information. She is demonstrating what is in the slide using replica foods ·. . • ' ~ ~~ ~~.!l-..

d equ1pMent

forks Knives spoons)

p 'l 5.1-15 Handwashing exercise that demonstrates simulated germs on their hands before handwashing 5.1-16 Barriers to accessibility for Food Handler Certification

Physical

• Travel arrangements to attend course

• Difficulty coming to pay and register 5.1-17 Our Success

• Program goal: 100% of clients’ requests for accommodation

• June 2018, Clients now asked about accessibility: – Survey completion rate: 75% – 5% indicated special needs which required accommodation – All indicated either “excellent” or “good’ when asked if accommodation needs were met 5.1-18 &Region Hr' of Peel working with you Thank you for the opportunity to share our story!

Lawrence Loh, MD, MPH, CCFP, FRCPC, FACPM Associate Medical Officer of Health [email protected] 5.2-1

&Region REPORT 111 of Peel Meeting Date: 2019-04-18 working with you Accessibility Advisory Committee

For Information

DATE: April 8, 2019

REPORT TITLE: ANNUAL ACCESSIBILITY STATUS REPORT 2018

FROM: Catherine Matheson, Commissioner of Corporate Services

OBJECTIVE

To provide an update on the progress made and actions taken by the Region of Peel to improve accessibility, remove barriers and implement the requirements set out in the Accessibility for Ontarians with Disabilities Act, 2005 as well as the strategies set out in the Region’s 2018-2025 Multi-Year Accessibility Plan for the 2018 calendar year.

REPORT HIGHLIGHTS  In 2005, the Ontario government passed the Accessibility for Ontarians with Disabilities Act, 2005 (AODA) which aims to make Ontario accessible for people with disabilities by 2025.  As part of the AODA, the Integrated Accessibility Standards Regulation (IASR) sets out rules that organizations must follow.  One of the requirements of the IASR is to implement and maintain a Multi-Year Accessibility Plan.  The Region’s new 2018-2025 Multi-Year Accessibility Plan (the Plan) was approved by Regional Council on December 14, 2017.  The Plan was developed to align with the Region’s 20 Year Strategic Plan.  The IASR also requires an annual status report on the progress and measures taken to implement the requirements under the AODA and the strategies set out in the Plan.  The status report outlines the actions taken to comply with the requirements for the period of January 1, 2018 to December 31, 2018, the first year of the Region’s 2018- 2025 Multi-Year Accessibility Plan.  The status report also includes future actions and goals which reinforce the Region’s ongoing commitment to accessibility.

DISCUSSION

1. Background

In 2005, the Ontario government passed the Accessibility for Ontarians with Disabilities Act, 2005 (AODA), with the objective of improving accessibility for Ontarians by identifying, removing and preventing barriers faced by persons with disabilities by 2025.

A requirement under the IASR is the annual reporting of the measures taken in the Region of Peel to remove barriers and improve accessibility for persons with disabilities, as required 5.2-2 ANNUAL ACCESSIBILITY STATUS REPORT 2018

under the AODA as well as provide an update on the actions taken to implement the 2018- 2025 Region of Peel Multi-Year Accessibility Plan (the Plan).

On December 14, 2017, the Region of Peel’s second Multi-Year Accessibility Plan was passed in accordance with the requirements of the Accessibility for Ontarians with Disabilities Act, 2005 (AODA) and the Integrated Accessibility Standards Regulation (IASR). As most of the IASR requirements are in force, with only the web content requirement remaining, a different approach was taken in the creation of the new multi-year accessibility plan. The Plan goes beyond legislated requirement and aligns with the Region’s 20 Year Strategic Plan. Accessibility is embedded into all facets of the Region’s Strategic Plan which is built around three areas of focus: Living, Thriving and Leading.

The “Accessibility Status Update for 2018” attached as Appendix I outlines the actions the Region of Peel has taken in 2018 to meet the requirements of Ontario’s accessibility legislation. In addition, “Future Goals and Actions” attached as Appendix II describes future undertakings to implement the strategies contained within the Plan. The report will be posted on the Region of Peel website and made available in an accessible format, upon request.

2. Preparing the Annual Accessibility Status Report

In preparation for the report, each department and program area was consulted on their achievements and accomplishments undertaken during 2018 to improve accessibility and remove barriers for persons with disabilities as it relates to Regional programs, services or facilities. These include accomplishments as per AODA requirements as well as any actions that went above and beyond legislated requirements. The information received outlines accessibility strategies and initiatives as it pertains to each area of focus of the Strategic Plan: Living, Thriving and Leading, while continuing to meet the requirements under of AODA.

Living – is about improving people’s lives in their time of need.

Thriving - is about building communities that are integrated, safe and complete.

Leading – is about becoming a government that is future-oriented and accountable.

Departments were also asked to provide future initiatives toward the Region’s 2018-2025 Multi-Year Accessibility Plan.

3. Report Findings

The report demonstrates the Region’s accomplishments in 2018 and indicates the Region is exceeding the requirements of the AODA in many areas. For example, incorporating audio and visual options at PAMA exhibits or using a person-centred approach to dementia care or ensuring that standards are in place. These are just some examples of innovative approaches to accessibility. The Region of Peel has proven to be accountable and forward thinking. The Create a Modernized Workplace initiative, the formation of the Office of Culture and Inclusion and the creation of policies and procedures that guide accessibility are just some examples of how the Region of Peel demonstrates care and support for its employees. The Region of Peel also ensures that employees are equipped with the resources to do their job well.

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Looking ahead, the Region will continue to take a proactive approach and explore opportunities to set minimum standards for accessibility, including incorporating an accessible by design approach where programs and services are inclusive and designed for all consumers with accessibility incorporated from the onset.

CONCLUSION

As required under the Accessibility for Ontarians with Disabilities Act, 2005 (AODA), the Region of Peel Annual Status Report 2018 outlines the actions taken to implement the requirements set out in the AODA legislation and the actions taken to comply with the requirements from January 1, 2018 to December 31, 2018. It outlines accessibility strategies and initiatives as it pertains to the three areas of focus of the Region’s Strategic Plan and includes other initiatives not mandated under the AODA. It reinforces the Region of Peel’s commitment to accessibility and ensures that the Region of Peel is on track in removing barriers for persons with disabilities by creating a community that is accessible and inclusive for persons of all abilities and bringing to life the vision of Community for Life.

Catherine Matheson, Commissioner of Corporate Services

Approved for Submission:

J. Sheehy, Acting Chief Administrative Officer

APPENDICES

Appendix I – Accessibility Status Update for 2018 Appendix II – Future Accessibility Goals and Actions

For further information regarding this report, please contact Juliet Jackson, Director, Office of Culture and Inclusion, ext. 6741. [email protected].

Authored By: Veronica Montesdeoca, Accessibility Planning Specialist

- 3 - 5.2-4 APPENDIX I ANNUAL ACCESSIBILITY STATUS REPORT 2018

Accessibility Status Update for 2018

This annual report describes the progress and measures taken by the Regional Municipality of Peel to improve accessibility and implement the requirements set out in the Accessibility for Ontarians with Disabilities Act, 2005 (AODA). The report provides an update on the first year (2018) of implementation of the Region’s 2018-2025 Multi-Year Accessibility Plan (Multi-Year Plan). The Region’s Multi-Year Plan was developed to align with the Region’s Strategic Plan, to achieve the vision of Community for Life and mission of Working with You. Accessibility is embedded into all facets of the Region’s Strategic Plan which is built around three areas of focus: Living, Thriving and Leading.

The Multi-Year Plan highlights actions to comply with the AODA requirements during the first year of the Region of Peel 2018-2025 Multi-Year Accessibility Plan (January 1 to December 31, 2018). It includes initiatives that the Region has undertaken outside of the AODA requirements to make the Region of Peel more accessible and inclusive for persons of all abilities.

The following table outlines the progress in 2018 to implement the Region of Peel’s 2018 -2025 Multi- Year Accessibility Plan as it relates to the three areas of focus and the work undertaken to continue to comply with the requirements of the Accessibility for Ontarians with Disabilities Act, 2005.

2018 Actions and Accomplishments:

Living – Living is about improving people’s lives in their time of need. This includes ensuring that the right tools, resources and supports are in place to assist when most needed. Some of the accomplishments in this area of focus that assist in improving accessibility during 2018 are as follows:

LIVING Service 2018 Accomplishments Adult Day Services Adult Day Services (ADS) support the needs of seniors who still live in the community. The aim is to maintain or improve the well-being of participants, as well as delay or prevent admission to hospital and long- term care. Making these services more accessible will allow seniors to live more independently longer.

Enhancements to this service area included:

 Monthly education for clients and caregivers on managing different disabilities, raising awareness and working together to meet the clients’ goals.  More accessible outings were planned in 2018 such as a Salt Cave Spa experience for those with respiratory and inflammatory conditions (wheelchair accessible), summer games, Blue Jays games, external dinner or lunch provided in accessible environments. Boating outings were also introduced at certain ADS sites specifically planned for persons with a physical disability. Additional personal care support staff was added to outings to support therapeutic recreational programs for those with personal care needs.  Variety of programs were made available for individuals with varying physical and cognitive abilities.  Education and support was provided on-site and off-site to

5.2-5 APPENDIX I ANNUAL ACCESSIBILITY STATUS REPORT 2018

caregivers through Social Worker and Registered Nurses, including transportation as well as a respite care for loved ones.  The launching of Menu Stream which provides access to the menu and dietary information and includes the option of font adjustments on kiosks to the user’s preference.  Trained staff to ensure assistive devices and emergency call bells are accessible to clients.  Addressing Communication requirements in care plans and provisions put in place to address individual and group needs.  Client Voice program which provides an opportunity for clients to learn about programs and services as well as contribute to the development of new programs and services.  Accessible Feedback and Satisfaction process put in place including: menu cards, satisfaction surveys, open door policy.  Offering assistive devices to encourage independence and restorative care.  Walkers and wheelchairs made available for use by client/caregiver.  Continued to provide a subsidized fee to allow more people to access the services.  Participated in community fairs to provide information to people on programs and services. This is an important method of communication with the community members who do not have access to internet searches/technology.  Assistance and accommodation provided to clients who take a narcotic (proper storage and administration of medication while at ADS) and those who use take insulin (partnering with LTC Registered Nurse to administer insulin).

DementiAbility Implementation Planning

The vision for DementiAbility is to create an environment where people living with dementia can achieve success and have the opportunity to live each day with meaning and purpose. DementiAbility strives to remove the focus that is too often placed on disability by replacing it with a focus on ability.

This includes utilizing different techniques including Montessori Approaches to enable independence, a sense of community, improve self-esteem and have meaningful contributions in their community.

Purchased wall murals in collaboration with LTC (shared cost). This encourages socialization removing barriers to meaningful activities, creates dimension in an environment that can look institutional, creates an opportunity for individuals with dementia to orient to the time of year with changing visual stimulus (murals change over the course of a year with – trees with flowers, leaves, birds, snow etc.).

DementiAbility annual review was completed and staff attend committee meetings monthly. This is an ongoing commitment to improvement initiatives that take into account the changing needs of the community including ideas generated from clients, residents, families and

5.2-6 APPENDIX I ANNUAL ACCESSIBILITY STATUS REPORT 2018

professional observation. The environment is therefore organic and ever changing to the needs of community e.g. partnership with Toronto Region Conservation Authority to create sensory gardens and additional raised garden beds spring 2019. Paramedics Services A Culture and Engagement Team with a focus on a psychologically safe workplace was Introduced. The Community Paramedic Program was introduced to bring healthcare to vulnerable clients who may have difficulty with access to healthcare professionals due to lack of appropriate accessible transportation. This group also connects these clients with accessible transportation options to attend appointments. Child Care The Region of Peel focuses on child care access and affordability. Enhancement to improve accessibility in this service area included:

 Expanded the number of licensed child care spaces and EarlyON centres to increase access to these services for families in Peel, including persons with disabilities.  Encouraged the use of universal design in child care programs – building knowledge of child care program educators related to universal tools and aids that will support all children to be successful. Example: the use of a visual and/or visual and auditory timer to help children see and hear when time is up or the use of hand washing visuals or pictoral program schedule to help all children to see the steps of the routine.  Used different methods to reach out to the community for engagement purposes – through surveys, focus groups, interviews etc. – to ensure we reached a wide variety of communities, including persons with disabilities in various locations throughout Peel. Long Term Care Butterfly Project

Breaking down barriers at the Region of Peel goes beyond ensuring that facilities are accessible and barrier-free. It is ensuring that programs and services respond to the evolving needs of the community to promote a sensitive, caring and inclusive environment.

Dementia Butterfly Care Approach is currently being implemented into two of LTC centres (MV and SV) and will eventually roll out in all LTC centres. The Dementia Butterfly Care Approach is person-centered care where the heart of the care is focused on emotional needs. Combined with enhancements to clinical care processes, piloting this approach will support Peel Long Term Care to better meet the clinical, mental, emotional and social needs of residents living with challenging and complex behaviours associated with dementia. It promotes an environment of inclusivity and compassion.

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TransHelp TransHelp is provided to residents of Peel so they can travel without barriers. Local public transit is leveraged when appropriate to provide the most suitable options for passengers. Some of the enhancements carried out in 2018 include:

 Improved ability of residents to take spontaneous trips by guaranteeing same day bookings.  Instituted a Quality Campaign program to ensure consistent levels of service for our passengers.  Continued with our Passenger Survey and maintained an 88% satisfaction rate.  Improved the Taxi Scrip program to make it easier for residents to access.  Continue the Accessible Transportation Master Plan, TransHelp 10 year strategic plan. Housing Support The Region leads service planning and management of housing with a focus on policy and service integration in order to achieve affordable, sustainable and accessible housing stock. The aim is that individuals and households demonstrate a positive improvement as a result of housing options. Some of the enhancements made to this service area included:

 Acquired two group home properties which offered an opportunity for the Region to leverage existing private stock to create housing options for vulnerable target client groups and increase access to services for persons with disabilities. This supports objectives within the Region’s Supportive Housing Action Plan.  Housing providers were assisted with implementing accessibility standards for customer service through the Operational Review process.  Improvement of accessibility features were made at Grace Retirement and Community Enterprise Inc. (Grace Court) residence in common areas and inside the units through a Capital Infrastructure Subsidy (CIS) loan.  Upgraded/modernized elevator cab interiors to meet accessibility features through SHIP funding and CIS loans at various social housing locations.  The Region partnered with Main and Market Holdings to convert underutilized commercial space and amenities into six affordable housing units, one of which is barrier-free. Construction was completed in summer of 2018 and all units including the barrier- free unit are currently occupied.  The Region partnered with Services in Housing in the Province to convert underutilized commercial space and amenities at the Hansen Development into twenty-seven affordable housing units, four of which are barrier-free. Construction was completed in fall of 2018 and all units including the barrier-free units are currently occupied.

5.2-8 APPENDIX I ANNUAL ACCESSIBILITY STATUS REPORT 2018

Thriving - Thriving is about building communities that are integrated, safe and complete. Some of the actions taken in this area of focus to assist in improving accessibility during 2018 included:

THRIVING Service 2018 Accomplishments Heritage, Arts and Culture Peel Art Gallery Museum and Archives (PAMA) supports residents of all abilities being engaged in an understanding of Peel history and culture, and to live in cohesive communities.

The PAMA exhibition design advanced with consistency of application of accessible design principles across all exhibitions, including large format print content. Digital and Print marketing: specific accessible formats were established, including testing tool applications.

Three staff members attended the Inclusive Museum Leadership Symposium (Ontario Museum Association). With the AODA as a pillar in the foundation of inclusivity, the Inclusive Museum Leadership Symposium gathered leaders and influencers from institutions across Ontario to explore inclusivity and what that means in institutions and communities, and what opportunities need to be explored to be relevant to all residents. Physical design, inclusive design, and community engagement were the unifying themes. Areas explored included working with diverse audiences and persons with special needs. Speakers represented various communities, including the deaf and persons with special needs.

PAMA Programs and exhibitions were developed and delivered in creative formats to address varying abilities and learning styles.

Public awareness was increased about inclusivity through the following exhibitions:

 Creative Expressions Art Exhibition (May-July), introduced visitors to the creativity and personal expression of children and adults with developmental and physical challenges;  Beyond Sit-Stay: Dogs in Service (Feb-June) featuring service and support dogs.  Remember, Resist, Redraw: A Radical History Poster Project (August – October) featuring histories of Indigenous peoples, women, workers and the oppressed that are often marginalized in mainstream historical accounts. Infectious Disease Needle Exchange Program (NEP) Prevention This program distributes Naloxone (Narcan®) kits and provides overdose prevention and response training through 2 mobile vans. Accessibility is improved as the vans go to where the client is within the community. In 2018, access to this service was improved as the hours of operation were increased and are now: 4 p.m. – 11 p.m. Monday to Saturday.

Tuberculosis (TB) clinic screening program is conducted on site in the

5.2-9 APPENDIX I ANNUAL ACCESSIBILITY STATUS REPORT 2018

community. Health Outreach Workers visit clients with TB in their homes for education and support. Waste Continued to ensure that the Waste Collection program is accessible by all Peel residents:

 Organics cart locking mechanism can remain in the unlocked position to assist residents that have difficulty with fine motor skills.  Waste Calendars have updated icons to assist the visually impaired, so they can differentiate between their collection weeks (garbage vs. recycling).  All carts are designed with accessible fonts and contrasting colours for wording.  Lids on all carts require less than five pounds of force to operate/move.

Walk up collection service, a specialized service for residents unable to leave their carts at the end of their driveway, continues to grow. Chronic Disease Community Clinics Prevention Portable dental equipment and dental bus is utilized to enable oral health screening and preventive services in the community to children 0–17 years of age. By directly visiting schools and local community partners, it reduces barriers to transportation and access. In 2018, we provided 4027 clients with oral health services in 2018 with the bus and portable dental equipment.

Dental Bus:

 Implemented in April 2018  From inception to Dec 2018, the dental bus partnered with 3 community agencies and 7 schools  The dental bus has 2 dental operatories and is equipped with a wheelchair lift  Fully winterized and able to provide services 12 months of the year

Employment Resource Center (ERC) Clinics:

 In Partnership with Ontario Works (OW) and Ontario Disability Support Program (ODSP) to support utilization of the Healthy Smiles Ontario (HSO) program

To improve access to information for OW and ODSP families, on site clinics are hosted at 10 Peel Centre Drive and 7120 Hurontario ERC’s.

Extended Clinic Service Hours:

 Walk-in clinics for Malton and Meadowvale clinics were designed to meet needs of the vulnerable communities. Children have the opportunity to have a dental screening and support to enroll into the HSO program without an appointment. Walk-in clinics are

5.2-10 APPENDIX I ANNUAL ACCESSIBILITY STATUS REPORT 2018

scheduled on Peel District School Board and Dufferin Peel Catholic School Board Professional Activity days to optimize accessibility.  A new service delivery model, Total Dental Services (TDS) provides a “no wrong door policy” by providing services to every eligible client who visits the Brampton and Fairview Region of Peel dental clinics.  Brampton and Fairview clinics have extended operational hours to 8 pm on Tuesdays and Wednesdays respectively.  Dental clinic service expanded to one Saturday per month to increase accessibility on a weekend for parents who are unable to bring their child during the week day.

Chronic Disease and Injury Prevention (CDIP)–Community Survey

Community Development Workers completed client feedback surveys for the Region of Peel Strategic Plan. Surveys for 60 people were completed at Healthy Sexuality and Oral Health clinics to identify ways to improve public accessibility.

Healthy Eating

As part of a workplace pilot, the Aerocentre Food Environment Assessment Tool, asks if whether the workplaces’ eating areas are “for all body types/abilities”.

Grown in Peel, an initiative that promotes local agriculture and connects producers with consumers in an effort to increase residents' access to safe, healthy and affordable food, ensure that the application form captures information on the accessibility of farms/retailers.

Active Living

Walking Audit Program - The program is designed to evaluate how walkability and accessibility could be improved in community neighbourhoods. Early Growth and Breastfeeding pilot in Brampton included in home visits by Public Health Development Nurses (PHN) to ensure this service is accessible to all those that need it. Nurses also provided in-home visits for the Healthy Babies Healthy Children Program. In addition, Breastfeeding Companions Peer Support Program provided telephone support during the first 3 months postpartum. Land Use Planning In partnership with the local municipalities, the implementation of Regional Official Plan Amendment (ROPA) 27 began. It includes policies on age-friendly planning, and health and built environment. Accessibility considerations are inherent in age-friendly planning, and in planning for communities that are health-promoting Roads and Transportation In 2018, a project to develop a guideline for the design and spacing of rest areas along exterior paths of travel as per the Design of Public Spaces component of the Integrated Accessibility Standards Regulation, was initiated. These guidelines will help ensure that there are consistent standards in place when incorporating such features along exterior

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paths of travel.

Updates of the Long Range Transportation Plan was initiated. The Long Range Transportation Plan is intended to serve as the basis for transportation infrastructure programs and capital budgeting as well as the Development Charge By-law Update. The LRTP directs the implementation of programs and strategies focused on improving Peel’s transportation network for all Peel residents.

Transportation Services for Long Term Care (LTC) Centres

Ensuring a safe, reliable and efficient movement throughout the Region for those most vulnerable in the community, including the elderly and persons with disabilities is essential to ensuring that they have access to the services they require while maintaining a sense of independence and dignity. To this end LTC contracts are in place with transportation providers such as:  Spectrum - Dialysis Patient transfer  Wheelchair Accessible Transit - Social Transportation - ADS/Activation

Centre owned transportation buses:  Peel Manor and Davis Centre - ADS/Activation Outings (wheelchair accessible)

Resources and assistance provided:  Transhelp - staff at centres assist with application and payment arrangements as needed.  Staff also provide resources or information on other accessible transportation as requested.

Leading - Leading is about becoming a government that is future-oriented and accountable. It means setting the pace to address changes in an evolving community. Some of the accomplishments in this area of focus that improved accessibility and removed barriers included:

LEADING

Service 2018 Accomplishments

Asset Management Built Environment

The Region of Peel continues to ensure that Peel infrastructure is accessible and that all members of the public can access programs and services without encountering barriers, including ensuring that locations such as the breast feeding clinics and prenatal classes are held in accessible locations.

Upgrades to infrastructure included:

 Office entrances on the ground floor of 7120 Hurontario St. were upgrade with accessibility buttons.

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 Additional accessible office equipment was purchased to support staff with limited mobility and office space was reconfigured to ensure staff with limited mobility have easier access to the elevators and washroom.  Two extra wide chairs available at every pre-natal site.  Improved signage, including enhancements to the signage at Ontario Works. New brail signage was installed in common areas at 150 Central Park Drive dental clinic.  Light test completed at both locations and lighting enhancements were made at 7120.  Cheque pick up window at 10 Peel Centre Dr. was relocated to the first floor to allow easier access by clients and included appropriate height adjustment counters to make it more accessible for residents with mobility devices.  Gathered direct feedback from both staff and clients on the accessibility, comfort and usability of the new workstation design. Also gathered light and noise level baseline readings to understand the impact that future designs might have.  Installation of ergonomically adjustable dining room tables in Adult Day Service Centres.  Montessori wall signs in Long Term Care Centres to make the space easier to navigate.  Partnered with Long Term Care centres to borrow lift equipment to accommodate residents with varying needs.  A bariatric transfer wheelchair and slings in four sizes were purchased to accommodate a range of needs in Adult Day Service centres. Assistive dining room chairs were purchased for greater access to dining for varying and promote a more inclusive environment.  Collaborated with licensed child care and EarlyON service providers to reconfigure and renovate spaces using an accessibility lens – accessible parking, first floor access for ease of families with strollers/small children, technology upgrades, etc.

The Streetsville Paramedic Reporting Station was designed to incorporate:

 Gender neutral washrooms for staff and visitors  A gender-neutral locker room and shower facilities for staff  Adult change station area in washrooms  Wheelchair accessible sinks in all washrooms  Wheelchair accessible alcoves in all desks, counters and millwork  Outside a barrier free path of travel from parking to main building complete with: o Painted lines identifying path o depressed curbs at paved walkways o tactile surface indicators at curbs  Automatic sliding doors at entrance with motion sensors

The Seniors Health and Wellness Village (SHW) at Peel Manor Project

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design (in progress):

 Accessibility friendly design – Incorporated the Accessibility for Ontarians with Disability Act (AODA) requirements based on the current and future needs of persons with disability.  Accessibility Advisory Committee (AAC) has been consulted on the new design. Presented twice and the design is being endorsed by AAC.  Urban Design Brief review completed.  Hub space, staff areas, residents’ sinks (with sloping offset drains, lifts (ceiling lifts will be installed) will be based on accessibility standards.  MOHLTC design guideline– review and approval of design.

Current Design Accomplishments for LTC Centres:

 Front entrances and courtyards are fully accessible and include sliding doors and widened doorways.  Hallways are wide and free of clutter for easy manoeuvring of wheelchairs and mobility devices.  Raised flower or vegetable planters for easier access.  Low and high key pads at the entrances  Large menu streaming screen with adjustable height.  Gate access – exterior, not padlocked; electronic access control complete with life safety interface.  Adjustable tables for dining rooms for residents.  Biometrics key pads, finger print to open medical rooms for safety of residents.

Peel Art Gallery Museum and Archives (PAMA):

 Improvements to crosswalks and curbs were made at the Peel Art Gallery Museum and Archives (PAMA) aaccessible parking lot to address visual barriers.  Visual barriers at the pillars in PAMA Studio 1 were addressed by colourful decal applications.

Information and Communication Formats Technology The Region continued its efforts in ensuring that information and documents were accessible and available in alternative formats. Some of the enhancements included:

 Accessibility considerations for documentation & Agenda Management system, including addressing accessibility gaps such as the addition of alternative text in images.  New Report Writing Guidelines to include information on accessible formats for presentations.  eLearning and educational topics have printed resources available for visually impaired staff and modules are narrated.  Increased font size on printed materials, including accessibility

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newsletter increased font to minimum 14pt  Information is made available in various formats to meet staff or client needs.  Trained staff to communicate, interact and provide information as it relates to persons with disabilities.  Daily Adult Day Service Program boards includes pictures  Rebranding of all Family Health print materials to ensure that they are AODA compliant.  ASL translation available for any client who requires it at any location through any communication medium.  On-line instructional videos for in-home breast feeding support have an option for closed captioning and e-learning pre-natal education videos’ content can be completed at own pace, with no time limit.  Text messaging was used for communicating with hearing impaired clients.  Tip sheets were made available for staff who work with ASL interpreters and CNIB resources are used to increase accessibility.  Hearing impaired clients have the option of communicating through text message.  Facebook posts with no jargon.  Different format for meetings are offered – in person, teleconference, video conference, etc. with sit/stand and adjustable desk.

Accessible Website and Web Content

The Region of Peel continued its work on updating the website and ensuring that the site meets Web Content Accessibility Guidelines (WCAG) Level AA standard by the January 21, 2021 timeline. Over 40% of the pages on the website are compliant as well as all new content placed on the site. As part of the content review and migration process, pages are being evaluated to ensure that information is relevant and easily consumed by members of the public.

Web based education was provided for caregivers in the adult day service program which can be easily accessed from any location.

Technology Enhancements

Technology was also used to improve accessibility at the Region of Peel. Some examples include:

 MCT Call out tool implemented in Adult Day Service centres to provide information in alternative formats.  The use of iPads in Adult Day Services for easier communication and quick language translation.  The Built Environment and Health Unit developed an online tool that maps healthy development across the Region, accessibility was taken into consideration and changes were made to the tool

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following an accessibility review  Alternative service models and methods to conduct appointments were explored. This included equipping staff with the tools required to attend and complete appointments where it is more convenient for the residents. Loner-Duo for home visits was implemented which assists in the scanning of Ontario Works client files so they are available for Caseworkers electronically.  Long Term Care Centres incorporated a Point Click Care/Point of Care/electronic Medication Administration Record and other technology; available in accessible format based on individual needs.  The Council Chamber technology upgrade improved internal and external stakeholder experience with respect to service access and service outcomes. It correlated with the Create a Modernized Workplace Term of Council Priority that seeks to implement tools and technology to improve productivity and accessibility. Upgrades consisted of enhancements to the projector display, audio and visual components, including new cameras, speakers and microphones, enhanced video streaming and system operations. Features included a fully accessible and mobile lectern, accessible microphone and voting panels, and phone/video conference capabilities. Workforce Deployment of Remote Agents

There are currently 26 remote agents (home-based) at the Community Contact Centres. These agents provided continued access to services for residents where external factors, such as severe weather, etc. impacted the ability of the in-office staff to get into work (business continuity). Agents were able to provide immediate coverage during the afterhours period where unexpected events created significant wait times for residents.

New phone system replaced varied phone announcements with one consistent, clear voice. Estimated wait time and position in queue was added to all CCC phone lines.

Modernized Workplace

The Region has begun upgrades to Create a Modernized Workplace Term of Council Priority.

Workspace Design Standards were created in consultation with the Region’s Accessibility Advisory Committee to ensure that the needs of persons with disabilities were considered. Upgrades include sit-stand workstations to support employees in improving physical, metabolic and even mental health, flexible work options and technology upgrades.

Training

In addition to the training requirement under the AODA, staff received the Accessibility Ontario: Accessibility Compliance 101 (Webinar Series)

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Webinar #1- AODA Overview, the Customer Service Standard, and new legislative developments.

Webinar #2 - General requirements and